Aug 20, 2020
Effective immediately, Aetna has made the following changes to the California small group underwriting guidelines.
QWTS For Groups With 6+ Enrolling
Aetna will now request a copy of the current carrier bill for all groups that answer “yes” to the employer application question asking if they use the services of a payroll company. This applies even if the group is not required to provide their DE-9C.
The payroll question is on page 4 of the employer application in section 6 (business eligibility).
Professional Employer Organization (PEO) Guidelines
Groups enrolled with a PEO in any type of co-employer relationship (benefits, workers’ comp, etc.) are not eligible.
Groups using only the “payroll services” of a PEO are eligible subject to meeting the standard underwriting guidelines. Groups that indicate they use payroll services must provide a copy of the DE-9C or prior carrier bill to validate that they are not part of a PEO.
Groups leaving a PEO are eligible for coverage and must provide the information below in addition to the standard underwriting requirements
- A copy of a letter from PEO confirming termination of the PEO arrangement
- A copy of two weeks of payroll
For more information, contact your LISI Regional Sales Manager.
